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Connolly Inc - Sr Auditor Resume Example

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Anthony Walker
XXX XXXXX XXXXXX, Clifton Heights, PA 19018
Ph: XXXXXXXXXX
XXXXXXXXXXXXXXXXXX
Professional Summary:

Accomplished and energetic with a solid history of achievement. Strong ability to work well with all levels of staff. Motivated leader with solid organizational and prioritization abilities. Areas of expertise include Human Resources, People Management, Health care claims specialist, Inventory Management, and Call Center Management.

Service-oriented professional with over a decade of experience. Core competencies include Professionalism, ability to learn quickly as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Work Experience:
Sr. Auditor Jul 2014Aug 2014 Connolly Inc. Consohocken, PA Contract Position - Sr. Auditor
  • Demonstrates high ability strong analytical reasoning through the review of financial based information. Analyzes and identifies errors utilizing methodical techniques to solve problems. 
  • Document concerns and make proposals to Management to avoid future reoccurrence.
  • Review financial statements, sales and activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement.
  • Direct and coordinate activities of businesses or departments concerned with the production, pricing, sales, or distribution of products.
  • Direct and coordinate activities of businesses or departments concerned with the production, pricing, sales, or distribution of products.
Human Resource/Compliance Manager Aug 2012Mar 2013 Synergy Orthopedics Plymouth Meeting, PA
  • Direct and coordinate activities of businesses or departments concerned with the production, pricing, sales, or distribution of products.
  • Review financial statements, sales and activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement.
  • Recruit, interview, perform background checks, and hire new staff as needed. Created and maintained HR files. Timely recording of State and Federal required forms
  • Serve as a link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.
  • Advise managers on organizational policy matters such as equal employment opportunity and sexual harassment, and recommend needed changes.
Customer Service Representatives Jan 2008Jul 2010 Keystone Mercy Health Plan Philadelphia, PA
  • Oversee activities directly related to making products or providing services.
  • Review financial statements, claim activity/inventory reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement.
  • Manage customer service, such as workforce managment/scheduling to ensure customer satisfaction as well an internal goal instructions on proceeding with claims submitted by healthcare providers.
  • Oversee insurance claims/adjustment processing or related documents and review them for accuracy and  completeness.
  • Identify training opportunities with staff members and addressed as needed.
  • Coach and counsel staff as needed. Prepared or reviewed Performance Improvement plans where appropriate.
Manager, Operations Aug 1998Feb 2008 Independence Blue Cross Philadelphia, PA
  • Plan the flow of work or materials to maximize efficiency.
  • Develop or implement programs to address problems related to production, materials, safety, or quality.
  • Modify equipment or processes to improve resource or cost efficiency.
  • Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits.
  • Train staff on the review of previously adjudicated claims and perform adjustments as appropriate.
  • Develop and train staff to perform adjustment, review and work provider's A/R. Created and implemented procedures to grant, modify, deny, or refer applicants to other agencies for assistance.
  • Develop and implement records management program for filing, protection, and retrieval of records, and assure compliance with program.
  • Analyze data gathered and develop solutions or alternative methods of proceeding.
  • Gather and organize information on problems or procedures.
Education:
MBA : Business Administration Apr 2001 Eastern University St. David's, PA
Bachelor of Arts : Communications Jun 1998 Penn State University University Park, PA
High School Diploma : General Studies Jun 1992 Springfield High School Springfield, PA
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Resume Details

This is a real resume for a Sr Auditor in Clifton Heights, Pennsylvania with experience working for such companies as Connolly Inc, Synergy Orthopedics, Keystone Mercy Health Plan. This is one of the hundreds of Sr Auditor resumes available on our site for free. Use these resumes as templates to get help creating the best Sr Auditor resume.

Previous Companies:

  • Connolly Inc
  • Synergy Orthopedics
  • Keystone Mercy Health Plan

Previous Job Positions:

  • Sr Auditor
  • Human Resource
  • Compliance Manager
  • Customer Service Representatives
  • Manager

Schools:

  • Eastern University
  • Penn State University
  • Springfield High School

Level of Education:

  • MBA
  • Bachelor of Arts
  • High School Diploma

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